This book is a discussion of some of the factors or forces that the author claims must contribute to the achievement, for the American people, of "the best medical service which science and art permit." Mainly, these factors or forces are those represented by existing formal organizations having a stake in "the health problem." The author's general goal is more sharply defined on page 63: "... the people are actually to get medical care as good as that which existing medical knowledge makes possible." To attain his goal all physicians would obviously need to have precisely equal ability and experience. The young physician could not have any patients, because that would mean that his patients are not obtaining this maximum quality of medical care that existing medical knowledge makes possible. No student of the social sciences would claim that the best could be uniformly available or that it would be possible